BONNER PROFESSIONAL COMPOUNDING NPI 1093850877

NPI Information

NPI: 1093850877
Provider Name: BONNER PROFESSIONAL COMPOUNDING
Classification: Pharmacist - 1835P1200X
Entity Type: Organization

Specialization: Pharmacotherapy

Address:
520 N 3RD AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 265-1093
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BONNER PROFESSIONAL COMPOUNDING is a pharmacotherapy pharmacist in Sandpoint, ID. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. BONNER PROFESSIONAL COMPOUNDING NPI is 1093850877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 N 3RD AVE
SANDPOINT, ID
ZIP 83864-507
Phone: (208) 265-1093
Fax: (208) 265-1031

The provider's authorized official is Sheryl Rickard .
The authorized official title is Chief Executive Officer and has the following contact phone number (208) 263-1441.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P1200X	Pharmacist	Pharmacotherapy	1402CP	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	BB8651526	OTHER	DISTRICT OF COLUMBIA	CONTROLLED SUBSTANCE REGI
2	1402CP	OTHER	IDAHO	STATE BOARD OF PHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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